| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
5,908 |
5,903 |
$372K |
| T4541 |
Incontinence product, disposable underpad, large, each |
5,938 |
5,932 |
$338K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
4,263 |
4,258 |
$140K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,328 |
2,327 |
$102K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
5,957 |
5,951 |
$98K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,582 |
1,581 |
$82K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
5,870 |
5,856 |
$74K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
950 |
949 |
$54K |
| A4335 |
Incontinence supply; miscellaneous |
5,504 |
5,500 |
$38K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
290 |
290 |
$15K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
251 |
251 |
$10K |
| K0001 |
Standard wheelchair |
24 |
24 |
$200.16 |